Groups for bereaved families

Groups and Events application form

Before you attend a therapy group or session you’ll first have an assessment with a counsellor or therapist to ensure they’re right for you. Please complete this form and we will be in touch to arrange an initial consultation.

"*" indicates required fields

Your name*

First Last

Name of child known to Shooting Star*

First Last

Email*

A counsellor or therapist will contact you by email or phone for an initial discussion.

Phone

Which group or event are you interested in?

Parents Support group (weekly evening group)

The Cove (term-time siblings support group)

Base Camp (3 day music event for siblings)

Other parent's name

First Last

Who is attending?*

First Name

Last name

Date of birth

Please add the name and date of birth for each sibling you would like to attend. (click the + icon to add more names)

How might they feel about exploring grief and loss in a group setting?

Let us know if there is anything specific that we can do to support them.

Will they be able to attend all dates?

Yes

It is important for them to try and attend all dates to get the most out of the session.

Will transport be needed?

Yes

Additional information

Please provide any additional information you would like to pass onto our counsellors, including suitable times for an initial conversation. Full details are not required at this stage as a counsellor will contact you to arrange an initial conversation.